1980, 10-24 Permit: 80B-2657 Pole BuildingPLAN NUMBERa.v.—a
P /Jfl
%�/��e APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E. 97o 7
LOT
2.
BLOCK
SUBbIVISION
4.
5.
NER
LTati' (tooK
ADDRESS
970193 _41.47
C0 W0ACTOR
PHONE
9a�-9&iI
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMMBER/S / /_// o
/-V
0?5`4 /..moo S/7/v'-r hr//
Actual Set Backs in eetq `, / //
North • 4' ISouth/K 7 / [East 4C 'West F•
ADMSA
DESIGNER
y5 3 B
A1745.3_7
ZIP
996 7
PHONE
Size of Parcel Zone ClasSificat"
.2420x /7/. 54S 6.43,44.22c e,1-.�,4.
Type Const. Occupancy Sprinklered
['Yes ❑No ❑ Req'd.
Valuationaon O
al
%70dU
Building Area in Sq. Ft.
A�00-
ADDRESS
ZIP
Main Floor
Upper Floors Garage A/ea
/zee
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
1VEW
BLD
❑ ALT.
❑ PLMB.
❑ AD N. 0 RPL.
❑ MECH. 0 M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
/
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCR E WORK
8. at
VALUATION
9.
OU RCE
OF
TILITIES
AS
' \ 30'x4'1)
ELECTRIC
Enum. Dist. I Location (Area)
WATER
SEWER
Ownership y�
Public 0 Private 1"t
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work"will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performancefof construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION ,/f3, 2V lJ Q SIGNATURE OF APPLICANTS hada l
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
- SEPA Checklist
Bu Idin Te hnci
"Win,
SPECIAL CONDITIONS:
PAL- 614 . - 210'• -
•
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building Sd
Plumbing
Mech.
Plan Check
SE PA
Mobile Home
Other (Specify)
TOTAL
fa
/1 U
PERMIT NUMBER
F08 a6.s7
02* *5000
*5000
*50006
A *000 g
26562
10=21C-80
z 647`4.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
aaaiS:2i41!-.:8ai0= 2'6.5.7 z *3 a10.0 E.
DATE ISSUED
PERMIT NO. TOTAL